Iatrogenic cataract after laser-assisted in situ keratomileusis

Kunihiko Nakamura, Hiroko Bissen-Miyajima, Hiroyuki Arai, Ikuko Toda, Yoshiko Hori, Shigeto Shimmura, Kazuo Tsubota

Research output: Contribution to journalArticlepeer-review

7 Citations (Scopus)


PURPOSE: To report a case of corneal opacity and iatrogenic cataract after laser-assisted in situ keratomileusis.METHOD: Case report. A 44-year-old man was initially seen with a traumatic cataract, corneal stromal opacity, and defect of the endothelium in the right eye after laser-assisted in situ keratomileusis performed by a plastic surgeon who had no ophthalmologic training.RESULTS: It was speculated that repeated ablations resulted in corneal perforation. We immediately performed phacoemulisification to remove the cataract and to prevent phacolytic glaucoma. However, visual acuity remained 20/200 because of the corneal stromal opacity, and penetrating keratoplasty was performed 2 months later, which improved best-corrected visual acuity to 20/30.CONCLUSIONS: This case demonstrated that laser-assisted in situ keratomileusis can cause devastating damage to the eye. Copyright (C) 1999 Elsevier Science Inc.

Original languageEnglish
Pages (from-to)507-509
Number of pages3
JournalAmerican journal of ophthalmology
Issue number4
Publication statusPublished - 10-1999
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Ophthalmology


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